基质金属蛋白酶及其组织抑制剂表达失衡与涎腺恶性肿瘤浸润生长的关系

目的　探讨基质金属蛋白酶2、9(MMP-2、9),膜型基质金属蛋白酶1(MT1-MMP)及基质金属蛋白酶组织抑 制剂1、2(TIMP-1、2)与涎腺恶性肿瘤浸润生长的关系。方法　应用免疫组化SP法和明胶酶谱法检测28例涎腺良 性肿瘤、26例涎腺恶性肿瘤中MMP-2、9,MT1-MMP及TIMP-1、2的表达及细胞定位,分析其中酶原与活性酶的含量 比例。结果　涎腺恶性肿瘤中MMP-2、9的表达强于良性肿瘤(P<0·05),TIMP-1、2的表达低于良性肿瘤 (P<0·05)。MMP-2、MT1-MMP、TIMP-2的表达有相关性。MMP-9酶原及活性MMP-9在恶性肿瘤中的表达均高于良 性肿瘤(P<0·05)。结论　MMP-2、9在涎腺恶性肿瘤浸润性生长中扮演了重要角色。涎腺恶性肿瘤中,TIMP-1、2 抑制作用的降低导致了MMP-2、9合成、激活的增多,令MMP-2、9与其天然组织抑制剂TIMP-1、2之间的平衡失调, 从而基底膜加速降解。

Relationship of the Disturbed Balance between Matrix Metalloproteinases and their Tissue Inhibitors and the Invasion of Malignant Salivary Gland Tumours

Objective To detect protein expression of MMPs and TIMPs in various salivary gland neoplasms and to investigate their roles in invasion and metastasis of the malignant salivary gland tumors. Methods Immunohistochemistry and Gelatin zymography analyses for MMP-2, MMP-9, MT1-MMP, TIMP-1 and TIMP-2 were performed in 26 malignant and 28 benign salivary gland tumors. Results The expression of MMP-2 and MMP-9 was significantly higher in carcinomas than in adenomas(P<0.05). The MMP-2/TIMP-1 and MMP-2/TIMP-2 was also sig nificantly higher in carcinomas than in adenomas(P<0.05). There was a cooperated effect among MMP-2, MT1-MMP and TIMP-2. The expression of active MMP-2, proMMP-9 and active MMP-9 was significantly higher in malignant tumors than in benign tumors (P<0.05). Conclusion MMP-2 and MMP-9 may play important roles in invasion of malignant salivary gland tumors. A disturbed balance between MMP-2, MMP-9, TIMP-1 and TIMP-2 in malignan t salivary gland tumors was detected. It was the absolute increase of MMP-2 and MMP-9 to induce the unbalance.